Attached files
| file | filename |
|---|---|
| EX-5.1 - EXHIBIT 5.1 - Power REIT | v366162_ex5-1.htm |
| EX-8.1 - EXHIBIT 8.1 - Power REIT | v366162_ex8-1.htm |
| EX-99.1 - EXHIBIT 99.1 - Power REIT | v366162_ex99-1.htm |
| 8-K - FORM 8-K - Power REIT | v366162_8k.htm |
|
301 Winding Road Old Bethpage, NY 11804 212-750-0373 http://pwreit.com |
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Power REIT
Subscription Form
7.75% Series A Cumulative Redeemable Perpetual Preferred Stock
Liquidation Preference $25.00 per Share
| Investor’s Name (not required): | ||
| Brokerage Firm (for delivering shares): | ||
| Account Number at Brokerage Firm: | ||
| DTC Participant Number: | ||
| Number of Shares Being Subscribed for: | ||
| Amount Owed for Shares: | ($25 per share) |
| Paid by: | ¨ Check | OR | ¨ Wire |
| (see Subscription Option 1, below) | (see Subscription Option 2, below) | ||
| Date of Wire:________________ | |||
| Fed. Ref. No.________________ |
Representations, Warranties, Agreements:
By executing and returning this form, the undersigned represents, warrants and agrees that:
(i) he/she/it is the investor, or has full power and authority to act on behalf of and bind the investor in subscribing as set forth herein and making these representations, warranties and agreements;
(ii) the shares are being offered pursuant to Power REIT’s Prospectus dated May 10, 2012 and its Prospectus Supplement dated January 23, 2014 (available at http://pwreit.com under Investor Relations/ Preferred Stock Offering, by email to ir@pwreit.com or by collect call to 212-750-0373);
(iii) the investor has had full opportunity to read and review such Prospectus and Prospectus Supplement and the additional documents they incorporate by reference; and
(iv) the information provided herein and these representations, warranties and agreements are accurate and complete, and shall remain so until the undersigned notifies Power REIT otherwise.
| Contact information, if we have any questions: | (Phone) | |
| (Email) |
| Signature | Date |
|
301 Winding Road Old Bethpage, NY 11804 212-750-0373 http://pwreit.com |
 |
Subscription Option 1 –By Wire and Email
| 1. | Wire the funds to: |
| Bank name | Citibank N.A., 111 Wall St., NY, NY 10043 |
| ABA routing # | 021000089 |
| Account name | Morgan Stanley and Co. Incorporated |
| Account # | 40611172 |
| For further credit: | Power REIT |
| Account # | 414-019055-155 |
| 2. | Execute the subscription form (being sure to include the date of the wire and the wire Fed. Ref. No.) and email the form to ir@pwreit.com. |
Subscription Option 2 –By Check and Mail
| 1. | Execute the subscription form, enclose a check made out to Power REIT, and mail the form and the check to: |
C/O Morgan Stanley Smith Barney
Attention: Dianne Zhilitsky
400 Campus Drive
Florham Park NJ 07932
For questions please email: ir@pwreit.com